LUKE ALAN RHOTON OD
NPI 1316780042
Optometrist in Augusta, ME
About Luke Alan Rhoton Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUKE ALAN RHOTON OD (NPI 1316780042) is an individual optometrist in Augusta, Maine, licensed in Maine (OPT1084) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and maintains a secondary practice location in Augusta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Luke Alan Rhoton Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Luke Rhoton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jay, OK 74346
- Reassigned Medicare billing, Texas enrollment
- 1,047 clinicians in this Medicare group
Tahlequah, OK 74464
- Reassigned Medicare billing, Oklahoma enrollment
- 96 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cherokee Nation W W Hastings Indian Hospital
Acute Care Hospitals · Tahlequah, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, ME 04330
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Luke Rhoton's NPI number?
The NPI number for Luke Rhoton is 1316780042. It was assigned to this individual provider in the NPPES registry on June 19, 2024.
Where is Luke Rhoton located?
Luke Rhoton practices at 1 VA Ctr, Augusta, ME 04330. The listed phone number is (207) 623-8411.
What is Luke Rhoton's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Luke Rhoton enrolled in Medicare?
Yes. Luke Rhoton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Luke Rhoton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luke Rhoton reassigns Medicare benefits to 2 organizations: Cherokee Nation (Jay, OK) and Northeastern State University College Of Optometry (Tahlequah, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luke Rhoton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Luke Rhoton accept?
Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Luke Rhoton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Luke Rhoton affiliated with any hospitals?
According to CMS data, Luke Rhoton is affiliated with Cherokee Nation W W Hastings Indian Hospital.
When was this NPI record last updated?
The NPPES record for Luke Rhoton was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Luke Alan Rhoton, OD · NPI 1316780042
Optometrist provider in Augusta, Maine. Individual provider, active in the CMS NPPES registry since June 19, 2024.
## Identity
- **NPI:** 1316780042 (Entity type: Individual)
- **Enumerated:** June 19, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT1084 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 VA CTR, Augusta, ME 04330-6795
- **Phone:** (207) 623-8411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cherokee Nation (NPI 1659388965, Jay, OK); Northeastern State University College Of Optometry (NPI 1437106333, Tahlequah, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316780042) · Data from the CMS NPPES public registry.